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General NPI Number Information
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NPI Number | 1225099914
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Entity Type | Individual
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Provider Name | JOHN R CORNETT II N.P.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 1551 WALL ST 4TH FLOOR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3539
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Country | US
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Telephone | 636-669-2220
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Fax | 636-669-2401
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Provider Business Mailing Address
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Address Line | PO BOX 955534
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City | SAINT LOUIS
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State | MO
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Zip | 63195-5534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 107239
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License Number State | MO
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